Get the free DHS 969 Child Care Licensing Self-Certification Form

State of Hawaii Department of Human Services Benefit, Employment & Support Services Division CHILD CARE LICENSING SELF-CERTIFICATION FORM Date: Name of Child Care Center: Address: Phone: Please attach

How to fill out dhs 969 child care

How to fill out dhs 969 child care:

1. Gather all the necessary information and documents required to complete the form, such as your personal details, income information, and any relevant supporting documents.
2. Start by providing your full name, address, contact details, and social security number in the appropriate sections of the form.
3. If you are applying for child care assistance for more than one child, make sure to provide the necessary information for each child individually.
4. Fill in the requested details about your household, including the number of people living in your household and their relationship to you.
5. Provide accurate and up-to-date income information for both you and your spouse, if applicable. This may include pay stubs, tax returns, or any other relevant proof of income.
6. Indicate the source and amount of any additional income, such as child support or government assistance.
7. If you have any child care expenses, make sure to provide the necessary details about the provider, their contact information, and the amount you pay for their services.
8. Answer all other questions on the form, such as whether you receive any other assistance or benefits, as truthfully and accurately as possible.
9. Double-check all the information you have provided before submitting the form to ensure its accuracy.
10. Submit the completed form either online or through the designated mailing address provided.

Who needs dhs 969 child care?

1. Families who require financial assistance to afford child care services.
2. Parents or guardians who are working, attending school, or participating in a job training program.
3. Individuals or families who meet the income eligibility requirements set by the Department of Human Services (DHS) for child care assistance.

For pdfFiller’s FAQs

What is dhs 969 child care?

DHS 969 child care is a form used to report child care expenses for tax purposes.

Who is required to file dhs 969 child care?

Any individual or family who has incurred child care expenses during the tax year may be required to file DHS 969 child care.

How to fill out dhs 969 child care?

To fill out DHS 969 child care, you will need to provide information regarding the child care provider, the amount of expenses incurred, and any applicable tax identification numbers.

What is the purpose of dhs 969 child care?

DHS 969 child care is used to report child care expenses and potentially claim tax deductions or credits related to those expenses.

What information must be reported on dhs 969 child care?

On DHS 969 child care, you must report information such as the name and address of the child care provider, the amount of expenses paid, and any tax identification numbers relevant to the provider.

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